Table 2.
Non-matched MG patients (n = 1352a) Nagelkerke R2 = 0.02 | Matched MG patients (n = 203 groups, 936 individualsa) Marginal R2 = 0.01 | |||
---|---|---|---|---|
OR (95% CI) for COVID-19 infection | p | OR (95% CI) for COVID-19 infection | p | |
No corticosteroids and no immune suppression (reference) | 1 | 1 | ||
Only corticosteroids | 0.82 (0.41–1.66) | 0.589 | 0.74 (0.35–1.60) | 0.445 |
First line IST (AZT, MMF, MTX, CSA) | 0.56 (0.31–1.01) | 0.052 | 0.60 (0.32–1.12) | 0.107 |
Escalation therapy with rituximab | 0.59 (0.23–1.56) | 0.289 | 0.85 (0.29–2.51) | 0.769 |
Age in decades | 1.00 (0.99–1.02) | 0.692 | – | |
Sex male, ref: female | 1.10 (0.68–2.09) | 0.541 | – | |
Comorbidities present, ref: no comorbidities present | 1.19 (0.68–2.09) | 0.541 | – | |
MGFA, ref: 0 | – | |||
I | 0.39 (0.16–0.97) | 0.043 | – | |
II A | 0.53 (0.22–1.25) | 0.146 | – | |
II B | 0.50 (0.21–1.18) | 0.112 | – | |
III A | 0.80 (0.28–2.28) | 0.672 | – | |
III B | 0.70 (0.25–1.94) | 0.491 | – | |
IV A/IV B/V | 1.10 (0.36–3.33) | 0.868 | – |
Odds ratios (OR) and 95% confidence interval (CI) for SARS-CoV-2-infected myasthenia gravis (MG) patients from multivariable binary logistic regression (left side) adjusted for age, sex, MGFA score, and thymectomy status (n = 1352, Nagelkerke R Square: 0.02), and from generalized estimation equation (GEE) binary logistic regression model (right side) after propensity score matching (n = 203 matched groups, 936 individuals) without further adjustment
Abbreviations: AZT azathioprine, CI confidence interval, CSA cyclosporine A, GEE generalized estimation equation, IST immunosuppressive therapy, MG myasthenia gravis, MGFA Myasthenia gravis foundation of America classification, MMF mycophenolate mofetil, MTX methotrexate, n number of included patients, OR odds ratio
aPatients treated with eculizumab (n = 20) or missing covariate data (n = 16) were excluded from matched and non-matched analysis